Provider Demographics
NPI:1639132483
Name:FORSTER, TERRENCE J (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:J
Last Name:FORSTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4 TERRY DR
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1838
Mailing Address - Country:US
Mailing Address - Phone:215-968-6000
Mailing Address - Fax:215-968-9287
Practice Address - Street 1:4 TERRY DR
Practice Address - Street 2:SUITE 10A
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1838
Practice Address - Country:US
Practice Address - Phone:215-968-6000
Practice Address - Fax:215-968-9287
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2014-10-10
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Provider Licenses
StateLicense IDTaxonomies
PAMD033123E207RR0500X, 207KI0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory Immunology
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC54312Medicare UPIN